STEMI护理工作流程图在急诊PCI术患者中的应用

Application of STEMI nursing flow chart to emergency patients with PCI

目的:探讨急性ST段抬高型心肌梗死(STEMI)护理工作流程图在急诊PCI术患者中的应用。方法:将337例行急诊PCI术的STEMI患者,按入院时间不同分为对照组128例、实验1组98例及实验2组111例,其中对照组给予常规护理;实验1组在对照组基础上对急诊抢救室-导管室护士进行规范化理论、技能培训,优化护理流程,设置STEMI专职护士;实验2组在实验1组基础上设计制定完善的STEMI护理工作流程图,并进一步规范化培训STEMI专职护士及导管室护士,充分发挥其在流程中的抢救、护理效能。比较三组症状发作至急诊时间、D2B时间、住院日、D2B达标率及围术期院内病死率等质量指标。结果:实验1组、实验2组症状发作至急诊时间、D2B时间、住院日、D2B达标率分别与对照组比较差异有统计学意义(P<0.05),且实验1组与2组症状发作至急诊时间、住院日、D2B达标率比较差异有统计学意义(P<0.05)。结论:在急诊行PCI术患者中应用STEMI护理工作流程图,可明显提高STEMI急救护理质量,取得了预期的社会效益和经济效益,值得临床推广应用。

Objective：To study the application of acute ST-segment elevation myocardial infarction（ STEMI）nursing flow chart to e-mergency patients with percutaneous coronary intervention（ PCI）. Methods：337 STEMI patients who underwent emergency treatment with PCI were divided into the control group（n=128）,the experimental group A（n=98）and the experimental group B（n=111）according to the admission time. The routine nursing care was given to the patients in the control group;the nurses in the rescue room and catheter lab received the standardized theory and skills training,and the optimized nursing process was implemented by special nurses for STEMI in the experimental group A;STEMI nursing flow chart was adopted in the experimental group B. The quality indexes like the time from symptom onset to emergency treatment,D2B time,hospitalization days,the up-to-standard rate of D2B and fatality rate in the perioperative period in the hospital were compared between the groups. Results：There were statistically significant differences in the comparison of the time from symptom onset to emergency treatment,D2B time,hospitalization days and the up-to-standard rate of D2B between the experimental group A,B and the control group（P〈0. 05）;the comparison of the time from symptom onset to emergency treatment,hospitalization days and the up-to-standard rate of D2B was significantly different between and the experimental group A and B（P〈0. 05）. Conclusion：Application of STEMI nursing flow chart in emergency patients undergoing PCI can significantly improve nursing quality in the emergency treatment of STEMI.